Individual
LAWRENCE ANTHONY VITULANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
800 HOWARD AVENUE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519
(203) 785-2140
(203) 785-6414
Mailing address
300 GEORGE STREET, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
000941
CT
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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